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[关于一场疫情、呼吸机与重症监护。似曾相识?]

[About an epidemic, ventilators and intensive care. A Déjà vu?].

作者信息

Donoso Fuentes Alejandro, Arriagada Santis Daniela

机构信息

Hospital Clínico Dra. Eloísa Díaz I., Santiago, Chile.

出版信息

Andes Pediatr. 2022 Feb;93(1):123-133. doi: 10.32641/andespediatr.v93i1.3977. Epub 2022 Apr 14.

Abstract

The birth of intensive care was a process that took place in Copenhagen, Denmark, during and after the polio epidemic of 1952-1953. The fact that marks its beginning was that anesthesiologist Björn Ibsen was asked to help and "came out of the operating room", not without some controversy. Ib sen proposed and advocated the use of tracheostomy, suctioning and ventilation. Given the lack of positive pressure ventilators, this task was carried out by students who contributed 165,000 hours of manual ventilation. Few years later, in Gothenburg, Sweden, the anesthesiologist Göran Haglund, motivated by the case of a four years old boy with complicated appendicitis, created the first multi disciplinary pediatric intensive care unit in the world (1955). In Chile, during the 1950s, the concept of pediatric intensive care began to develop under the direction of physicians with a solid vision of the future. Given that the planet is experiencing a pandemic, it seems an appropriate moment to review the role of the polio epidemic in the development of positive pressure ventilation, the birth of intensive care medicine and intensive care units, in order to assess the role of the various tasks and innovations carried out.

摘要

重症监护的诞生是一个发生在丹麦哥本哈根的过程,时间是在1952 - 1953年小儿麻痹症流行期间及之后。标志其开端的事实是麻醉医生比约恩·易卜生被要求提供帮助并“走出手术室”,这并非没有一些争议。易卜生提议并倡导使用气管切开术、吸痰和通气。由于缺乏正压呼吸机,这项任务由学生们完成,他们提供了16.5万小时的手动通气。几年后,在瑞典哥德堡,麻醉医生戈兰·哈格隆德受一名患有复杂阑尾炎的四岁男孩病例的启发,创建了世界上第一个多学科儿科重症监护病房(1955年)。在智利,20世纪50年代,在对未来有坚定愿景的医生的指导下,儿科重症监护的概念开始发展。鉴于地球正在经历一场大流行,现在似乎是一个合适的时机来回顾小儿麻痹症流行在正压通气发展、重症监护医学和重症监护病房诞生过程中的作用,以便评估所开展的各项任务和创新的作用。

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